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<br />I <br />8 B-780-00<~0 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />5- \ '3-00 <br /> <br />Owner's Name <br /> <br />OWner Phone Number 8 r~ - ~~ -to \ ~q <br />Owner Phone Number I gl'3- "l"ag- 04\\ <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder NamJ F\Dri do... \-h.pitl'J \ <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTIONOF~ORK I \-lea:c-\- Ins+itote.. Re.nc\lCl4iO() <br /> <br />BUILDING SIZE r I SQ FOOTAGE I ~ Boo. I HEIGHT I <br /> <br />.....III...II.......JII...II..III..........,11...111.........11........11....11.....11...11...............11...11................................. <br /> <br />Fee Simple Titlehol~er Address 1..,C:50 ('-,{'1\\ ~\vrf. Z e.phyyhiJk FL 33541 <br /> <br />JOB ADDRESS IlOSO (,a\\ P-.\\IA. Z~rhy.,..hilk FL ":?35J.1J LOT # <br /> <br />SUBDIVISION I c.'~'J or 2e..ph'{(\'"1.,\tc::; I PARCELlD#1 35 - ,9..5 -a \ - 60\0 - i0560- <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />~ <br />D <br />D <br /> <br />0000 <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALT D SIGN D MOVE D DEMOLISH <br />REPAIR <br />COMM [i[] OTHER I ~pi...rJ.' <br />FRAME D STEEL m OTHER I In-\-~rll"'r <br /> <br />Q::( <br />G' <br />B' <br />~ <br /> <br />1$ ~l)O, 000 1 <br /> <br />1$ ~U>,tJ{)D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br /> <br />1$1.;DJ1?D I .-rJOC ~D <br /> <br />1$11/ Il,tJ07J I VALUATION OF MECHANICAL INSTALLATION ~i \ \~6~: <br /> <br />~GAS D ROOFING D SPECIALTY D OTHER '*'^ (jJai'~oy(~7Yh <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO ~ <br /> <br /> <br />.....1.1..1.........111...........,'.....111.....11...1............................1...................................................1........1.. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANIOAL <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />,-2, <br /> <br />D~er eo~ucl\Q~ Comrny . Inc.! <br />I Y / N I FEE CURRENT I Y / N _ <br />License # ~ <br /> <br />~~ NE\rl'-tr;~E%UR~~~ I@N I <br /> <br /> <br />License # I I <br /> <br />I <br /> <br />BCJ\ fY\fi ~ <br />I Y(fD1 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />CW.(itf~~ <br />/ N FEE CURRENT <br /> <br />License # I c.. p.. c.. 0 \ 1$ C1'35 <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />111111111111111111'1,1'111"11111111""111111'111111111111"11"'1111111'.""'11111111111111""111111111'".'11111111111111111."111111111111111 <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />N1inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />111111111111111111111~111.1.llllllllllllllllllllllllllI~~.IIIIIIIIIIIII~.IIIIIIIIIIIIIIIIIII~.IIIIIIIIII.II.11I1111I111I11111111111111111111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contrac~r sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the con~ractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTE~ PERMITTING (Front of Application Only) <br />Reroofs Skwers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not o.....er Counter if on public roadways..needs ROW <br /> <br />::;. <br />